Drug ID:Drug26
Drug Name:Mesalazine
CID:4075
DrugBank ID:DB00244
Modality:Small Molecule
Groups:approved
US Approved:YES
Other Approved:YES
Identifier: NCT05992142, , NCT01532648, , NCT02665845, , NCT00603733, , NCT02683759, , NCT03804931, , NCT01320436, , NCT00984568, , NCT00167882, , NCT00713310, , NCT01004185, , NCT01903252, , NCT00151892, , NCT00349388, , NCT05753267, , NCT05781698, , NCT05988528, , NCT05567068, , NCT05986136, , NCT05119
Molecular Formula:C7H7NO3
Molecular Weight:153.14 g/mol
Isomeric SMILES:C1=CC(=C(C=C1N)C(=O)O)O
Synonyms:5-Aminosalicylic acid; mesalamine; Mesalazine; 89-57-6; 5-Amino-2-hydroxybenzoic acid; 5-ASA; m-Aminosalicylic acid; Lialda; Fisalamine; Apriso
Phase 0: 1
Phase 1: 39
Phase 2: 43
Phase 3: 94
Phase 4: 27
Description:An anti-inflammatory agent, structurally related to the salicylates, which is active in inflammatory bowel disease. It is considered to be the active moiety of sulphasalazine. (From Martindale, The Extra Pharmacopoeia, 30th ed)

Molecular Structure

2D Molecular Structure

Knowledge Graph

dtIDCIDCompound NameGene IDGene NameSpeciesPubMed IDsAction
dt238 4075 Mesalamine 3028 HSD17B10 Homo sapiens (human) None
dt239 4075 Mesalamine 2744 GLS Homo sapiens (human) None
dt240 4075 Mesalamine 3586 IL10 Homo sapiens (human) None
dt241 4075 Mesalamine 5743 PTGS2 Homo sapiens (human) Inhibitor
dt242 4075 Mesalamine 5742 PTGS1 Homo sapiens (human) Inhibitor
dt243 4075 Mesalamine 240 ALOX5 Homo sapiens (human) Inhibitor
dt244 4075 Mesalamine 5468 PPARG Homo sapiens (human) Agonist
dt245 4075 Mesalamine 1147 CHUK Homo sapiens (human) Inhibitor
dt246 4075 Mesalamine 3551 IKBKB Homo sapiens (human) Inhibitor
dt247 4075 Mesalamine 4843 NOS2 Homo sapiens (human) 17503181 Inhibitor

  • No data available

Phase Distribution
Phase Description
  • Phase 0: Exploratory trials to assess drug behavior in humans
  • Phase 1: Safety trials to determine safe dosage range
  • Phase 2: Efficacy trials to evaluate therapeutic effects
  • Phase 3: Large-scale trials to confirm efficacy and safety
  • Phase 4: Post-marketing surveillance for long-term safety and efficacy

Trial IDTitlePhaseStatusSponsorIndicationsInterventions
NCT05538026 Effectiveness of Fecal Microbiota Transplantation as add-on Therapy in Mild-to-moderate Ulcerative Colitis NA COMPLETED Bogomolets National Medical University Ulcerative Colitis Chronic Mild|Inflammatory Bowe… DRUG: Mesalazine|BIOLOGICAL: Fecal transplantation Details
NCT05386290 A Multicentered Prospective Cohort Study of Chinese IBD Patients NULL UNKNOWN Peking Union Medical College Hospital Ulcerative Colitis|Crohn Disease DRUG: Infliximab|DRUG: Vedolizumab|DRUG: Ustekinu… Details
NCT05205603 Efficacy of Mesalazine Combined With Biologics in the Treatment of Moderate to Severe Ulcerative Colitis PHASE4 UNKNOWN Sixth Affiliated Hospital, Sun Yat-sen University Ulcerative Colitis|Efficacy, Self|Biologics|Mesal… DRUG: Infliximab|DRUG: Vedolizumab|DRUG: Mesalazi… Details
NCT04276649 A Retrospective Analysis: the Influence of Caltrate Supplement on the Effect of Mesalazine in Ulcerative Colitis NULL COMPLETED Second Affiliated Hospital of Wenzhou Medical University Ulcerative Colitis|Vitamin D Deficiency|Vitamin D… DRUG: Caltrate Details
NCT04133194 Adherence of a 1.600 mg Single Tablet 5-ASA Treatment of Ulcerative Colitis PHASE4 UNKNOWN Flemming Bendtsen Ulcerative Colitis DRUG: Mesalazine|DRUG: Mesalazine Details
NCT03917095 The Safety and Efficacy of TET Enema in the Treatment of UC NA UNKNOWN The Second Hospital of Nanjing Medical University Ulcerative Colitis Chronic Mild|Ulcerative Coliti… DEVICE: The Colonic Transendoscopic enteral Tubin… Details
NCT03441893 Role of Intestinal Protozoa and Helminths in the Course of Ulcerative Colitis PHASE1|PHASE2 UNKNOWN Research Institute of Epidemiology, Microbiology and Infectious Diseases, Uzbekistan Ulcerative Colitis|Ulcerative Colitis Exacerbatio… DIAGNOSTIC_TEST: parasitological diagnostics (cop… Details
NCT03412682 To Evaluate the Efficacy and Safety of FE 999315 in Japanese Subjects With Mild to Moderate Active Ulcerative Colitis PHASE3 COMPLETED Ferring Pharmaceuticals Colitis, Ulcerative DRUG: Budesonide (6 mg)|DRUG: Budesonide (9 mg)|D… Details
NCT03110198 Mesalazine With Hydrocortisone Sodium Succinate Enema for 4-Week Treatment in Patients With Ulcerative Colitis PHASE4 UNKNOWN Xijing Hospital of Digestive Diseases Ulcerative Colitis, Unspecified DRUG: Mesalazine|DRUG: hydrocortisone sodium succ… Details
NCT03104036 Faecal Bacteriotherapy for Ulcerative Colitis PHASE2 COMPLETED Institute for Clinical and Experimental Medicine Ulcerative Colitis OTHER: Faecal bacterial transplantation|DRUG: Mes… Details
NCT02769494 The Efficacy of Topical Mesalazine Sustained-Release Tablets in Crohn's Disease Patients With Oral Ulcer PHASE3 WITHDRAWN Xijing Hospital of Digestive Diseases Crohn's Disease|Oral Ulcer DRUG: Mesalazine Sustained-Release Tablets|DRUG: … Details
NCT02537210 Aminosalicylic Acid Withdrawal Study in Long Standing Inactive Ulcerative Colitis NA COMPLETED Chinese University of Hong Kong Colitis, Ulcerative|Aminosalicylic Acid DRUG: Mesalazine|DRUG: Placebo oral capsule Details
NCT02368717 An Efficacy and Safety Study of PENTASA in Chinese Patients With Left-sided Active Ulcerative Colitis Followed by a 24-Week Open-Label Extension Phase PHASE3 COMPLETED Ferring Pharmaceuticals Ulcerative Colitis DRUG: Mesalazine Enema|DRUG: Placebo Enema Details
NCT02335281 Standardized Fecal Microbiota Transplantation for Inflammatory Bowel Disease PHASE2 UNKNOWN Yanling Wei Inflammatory Bowel Disease|Ulcerative Colitis|Cro… PROCEDURE: FMT|DRUG: Mesalazine Details
NCT02261636 Induction and Maintenance of Remission With Pentasa as Ulcerative Colitis Treatment NULL COMPLETED Ferring Pharmaceuticals Ulcerative Colitis DRUG: mesalazine Details
NCT02190526 Effects of Mesalamine and Amitriptyline on Irritable Bowel Syndrome PHASE4 WITHDRAWN Tehran University of Medical Sciences Diarrhea- Predominant Irritable Bowel Syndrome|Qu… DRUG: Mesalazine(asacol 800 mg)|DRUG: Amitriptyli… Details
NCT02093663 Safety and Efficacy of MMX Mesalamine/Mesalazine in Pediatric Subjects With Mild to Moderate Ulcerative Colitis PHASE3 COMPLETED Shire Ulcerative Colitis DRUG: MMX Mesalamine/Mesalazine (Low Dose)|DRUG: … Details
NCT02044952 Efficacy and Safety Study of Tripterygium Glycoside in the Treatment of Crohn's Disease for Induction Remission PHASE2|PHASE3 UNKNOWN Zhu Weiming Inflammatory Bowel Diseases|Crohn's Disease|Gastr… DRUG: Mesalazine, Tripterygium glycosides Details
NCT01745770 TID 1000 mg Mesalazine Versus TID 2x500 mg Mesalazine in Active Ulcerative Colitis (UC) PHASE3 COMPLETED Dr. Falk Pharma GmbH Active Ulcerative Colitis DRUG: Mesalazine - TID 1000 mg|DRUG: Mesalazine -… Details
NCT01699438 Mesalazine Treatment in IBS (The MIBS Study) PHASE2 COMPLETED Hans Törnblom Irritable Bowel Syndrome DRUG: Mesalazine|DRUG: Placebo Details

Disease IDDisease NameDefinitionCategoryRelated DrugsMechanism
No data available

Strategy IDTherapeutic StrategySynonymsRelated DrugsMechanism
S01 Anti-inflammatory inflammatory 5-Aminosalicylates (5-ASAs); corticosteroids Crohn's disease and ulcerative colitis are the two main com… Details

High-dose mesalazine treatment for ulcerative colitis patients who relapse unde…

PMID: 21195041
Year: 2011
Relationship Type: Treatment Score: 6.1

BACKGROUND: Mesalazine is often used to maintain remission in patients with ulcerative colitis. AIM: To investigate if increasing the dose of mesalaz…

A case of pyoderma gangrenosum with ulcerative colitis treated with mesalazine

PMID: 21165212
Year: 2010
Relationship Type: Treatment Score: 6.1

Pyoderma gangrenosum (PG) manifests as recurrent deep ulceration of the skin and PG is associated with a variety of disorders. Approximately 30% of t…

Mesalazine vanishing time from rectal mucosa following its topical administrati…

PMID: 21122491
Year: 2010
Relationship Type: Treatment Score: 6.1

To investigate how long and how much Mesalazine (M) is available inside the rectal mucosa following its topical instillation, in patients (pts) with …

Best practice in the management of mild-to-moderately active ulcerative colitis…

PMID: 20665988
Year: 2010
Relationship Type: Treatment Score: 6.1

Optimizing treatment goals in ulcerative colitis requires recognizing the needs of patients. It is increasingly recognized that adapting treatment st…

Azathioprine versus mesalazine for prevention of postoperative clinical recurre…

PMID: 20551460
Year: 2010
Relationship Type: Treatment Score: 6.1

OBJECTIVE: The aim of the study was to compare azathioprine versus mesalazine tablets for the prevention of clinical recurrence in patients with post…

Mesalazine-induced multi-organ hypersensitivity

PMID: 20441247
Year: 2010
Relationship Type: Treatment Score: 6.1

Mesalazine therapy for ulcerative colitis has been reported to be effective and safe. Rare cases of mesalazine-induced renal, pancreatic, myo-pericar…

A cost-effectiveness analysis of MMX mesalazine compared with mesalazine in the…

PMID: 20141380
Year: 2010
Relationship Type: Treatment Score: 6.1

OBJECTIVES: To perform a cost-utility analysis of a new formulation of mesalazine (Mezavant XL, MMX mesalazine) versus an existing oral mesalazine (A…

Lab-on-a chip electrochemical sensing platform for simultaneous, ultra-sensitiv…

PMID: 40267767
Year: 2025
Relationship Type: Treatment Score: 5.5

Mesalamine or 5-aminosalicylic acid (5-ASA) and its isomer 4-aminosalicylic acid (4-ASA), well known key therapeutic agents used to treat inflammator…

Mucoadhesive Mesalamine Prodrug Nanoassemblies to Target Intestinal Macrophages…

PMID: 38867457
Year: 2024
Relationship Type: Treatment Score: 5.5

While mesalamine, a 5-aminosalicylic acid (5-ASA), is pivotal in the management of inflammatory bowel disease (IBD) through both step-up and top-down…

Oxidation of Mesalamine under Phenoloxidase- or Peroxidase-like Enzyme Catalysis

PMID: 38138595
Year: 2023
Relationship Type: Mechanism Score: 5.5

Mesalamine, also called 5-ASA (5-aminosalicylic acid), is a largely used anti-inflammatory agent and is a main choice to treat Ulcerative Colitis. Th…

Oral 5-aminosalicylic acid for induction of remission in ulcerative colitis

PMID: 32786164
Year: 2020
Relationship Type: Treatment Score: 5.5

BACKGROUND: Oral 5-aminosalicylic acid (5-ASA) preparations were intended to avoid the adverse effects of sulfasalazine (SASP) while maintaining its …

The culprit of mesalamine intolerance: case series and literature review

PMID: 31366329
Year: 2019
Relationship Type: Treatment Score: 5.5

BACKGROUND: Mesalamine is a first-line drug in the treatment of inflammatory bowel diseases, while its intolerance occasionally occurs in clinical pr…

Effect of Long-Term Mesalamine Therapy on Cancer-Associated Gene Expression in …

PMID: 30478770
Year: 2019
Relationship Type: Treatment Score: 5.5

BACKGROUND: The role of 5-aminosalicylic acid (5-ASA or mesalamine) in the prevention of colorectal cancer in ulcerative colitis (UC) patients was re…

5-ASA induced interstitial nephritis in patients with inflammatory bowel diseas…

PMID: 35488310
Year: 2022
Relationship Type: Treatment Score: 5.5

BACKGROUND: Acute interstitial nephritis (AIN) is an important cause of kidney injury accounting for up to 27% of unexplained renal impairment. In up…

Modelling the benefits of an optimised treatment strategy for 5-ASA in mild-to-…

PMID: 35165124
Year: 2022
Relationship Type: Treatment Score: 5.5

OBJECTIVES: 5-aminosalicylate (mesalazine; 5-ASA) is an established first-line treatment for mild-to-moderate ulcerative colitis (UC). This study aim…

First report of mesalamine (5-aminosalicylic acid) as the causative agent in a …

PMID: 28329471
Year: 2017
Relationship Type: Mechanism Score: 5.3

Acute generalized exanthamous pustulosis (AGEP)is a rare eruption of non-follicular sterile pustuleson a diffuse background of erythema and edema,com…

Antioxidant properties of mesalamine in colitis inhibit phosphoinositide 3-kina…

PMID: 23867870
Year: 2013
Relationship Type: Mechanism Score: 5.1

BACKGROUND: Mesalamine, 5-aminosalicylic acid (5-ASA), is a potent antioxidant and is known to enhance peroxisome proliferator-activated receptor gam…

A random urine test can identify patients at risk of mesalamine non-adherence: …

PMID: 23295279
Year: 2013
Relationship Type: Treatment Score: 5.1

OBJECTIVES: Mesalamine non-adherence is common among patients with ulcerative colitis (UC), and can be difficult to identify in practice. We sought t…

Medication use patterns and predictors of nonpersistence and nonadherence with …

PMID: 23206213
Year: 2012
Relationship Type: Treatment Score: 5.1

BACKGROUND: 5-aminosalicylic acid (5-ASA) is the recommended first-line treatment for active mild-to-moderate ulcerative colitis (UC) and for mainten…

Update on the management of ulcerative colitis: treatment and maintenance appro…

PMID: 22888278
Year: 2012
Relationship Type: Treatment Score: 5.1

Ulcerative colitis (UC) is a chronic inflammatory disease of the colon that typically manifests as diarrhea, abdominal pain, and bloody stool. Compli…

Showing 161-180 of 183 articles